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Search results for "Quality Improvement Strategies"
- Computerized Adverse Event Detection
- Facility and Group Administrators
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- Quality Improvement Strategies
Journal Article > Review
Bhattacharjee P, Edelson DP, Churpek MM. Chest. 2017;151:898-907.
Undiagnosed sepsis can lead to serious patient harm. This review describes proactive methods of monitoring patients to augment detection and early treatment of sepsis. The authors discuss how this process has evolved over time and suggest that automated tools can aid in identifying and managing sepsis.
Journal Article > Study
Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care.
Singh R, McLean-Plunckett EA, Kee R, et al. Qual Saf Health Care. 2009;18:199-204.
Trigger tools are a useful method to screen for adverse events and have been described in pediatric inpatient, intensive care, and surgical settings. This study describes the development and experience of a trigger tool for the ambulatory setting based on a 12-month retrospective chart review. While the investigators used a 39-item trigger tool, they discovered that only nine of the triggers generated a positive predictive value of greater than 5%. The most common triggers for adverse drug events were ''medication stop,'' ''hospitalization,'' and ''emergency room'' visit. The authors advocate for use of their trigger approach but perhaps focusing only on the nine high-yield triggers rather than the exhaustive list. The Institute for Healthcare Improvement pioneered the development of the trigger tool approach and maintains a Web site with information on trigger tools for a variety of clinical situations.
Friedley NJ. Med Econ. October 17, 2008;85:34-38.
This continuing education activity includes an article discussing medication errors in the context of ambulatory care and provides a medication safety plan for primary care practices.